Gastric bypass surgery is the most preferred surgery for weight loss in our country and in the world. The life-threatening rate during the operation is around 1-2 percent. The logic of the surgery is to open a shortcut in the digestive system and to deliver the food to the end before it is fully digested. The surgery also has mechanical and hormonal effects to reduce appetite and to hasten the feeling of satiety.

Basically, two things are aimed here; the first is to restrict the patient from eating too much, that is, restriction, and the second is to prevent the patient from benefiting from some of the food they eat. In these surgeries, a tube with a capacity of 30 or 50 CC is made from the stomach. The rest of the stomach is not removed, it remains in the abdomen. On the other hand, the duodenum and a certain section at the beginning of the small intestine are closed to the passage of food so that the patient cannot benefit from the food they eat.

In a period of one year, the patient loses 85-90 percent of his/her excess weight. At the same time, if the patient is diabetic, his/her diabetes is under control. If the patient has blood pressure and sleep apnea syndrome, this can be improved after surgery.

There are two types of gastric bypass surgery.

Roux-Y Gastric Bypass

Roux-en-Y gastric bypass surgery is one of the most effective surgeries in obesity surgery. In this surgery for weight loss, the stomach is reduced laparoscopically by closed method. In this surgery, which is one of the important surgical treatment methods for obesity, there is a restrictive factor in eating. Absorption is also reduced.

The stomach is reduced with a stapler. We need to attach the reduced stomach to the beginning of the small intestine. We do this with a stapler.

Mini Gastric Bypass

A long thin tube is made in the stomach. The whole stomach is not taken out of the abdomen, it is kept in place.

Approximately 200 centimeters of the small intestine is reconnected with this tube. In this way, the patient's eating is restricted. On the other hand, the 200 centimeters of small intestine is closed to the passage of food, so that the patient cannot benefit from some of what he eats.

Both of these operations are performed laporoscopically with completely closed methods. The hospital stay is around 3 to 5 days. In this surgery, effective and permanent weight loss is achieved.

The disadvantages of these surgeries are that the patient may need vitamins and minerals in the long term. Since part of the stomach remains inside, the remaining part of the stomach cannot be visualized with an endoscope.